Stress and Bio-Ethical Issues Perceived by Romanian Healthcare Practitioners in the COVID-19 Era

Int J Environ Res Public Health. 2021 Dec 3;18(23):12749. doi: 10.3390/ijerph182312749.

Abstract

Objective: The COVID-19 pandemic had a major impact on different areas of life, especially in the medical system. Because of the pandemic outbreak, the medical system was remodeled to treat COVID-19 patients in secure conditions. Those changes and restrictive measures have put pressure on individual adaptability. The present study investigated the stress of Romanian healthcare practitioners (HCP) and the capacity to deal with new bio-ethical issues that emerged during the COVID-19 pandemic in 2020.

Methods: We analyzed results from a survey on 97 Romanian HCP in several areas: personal experience with COVID-19, perceived emotional distress, and appraisal of bio-ethical principles respected or infringed during the pandemic in 2020.

Results: Unlike previous studies, our respondents reported low to moderate stress levels. In addition, few bio-ethical principles were infringed on a personal level. Tendencies to sacrifice individual autonomy and make decisions affecting patients and co-workers were more prevalent among HCP with over 30 years of experience.

Conclusions: Retrospectively, Romanian HCP in our sample appeared to share an embellished view of the COVID-19 pandemic in 2020. Potentially related factors and coping mechanisms with stress are discussed.

Keywords: COVID-19 pandemic; autonomy; bio-ethical principles; challenges; decision making; healthcare practitioners; stress; wellbeing.

MeSH terms

  • COVID-19*
  • Delivery of Health Care
  • Humans
  • Pandemics
  • Retrospective Studies
  • Romania / epidemiology
  • SARS-CoV-2